ADOPTED - AUGUST 26, 2003

Agenda Item No. 28

Introduced by the Human Services and Finance Committees of the:

INGHAM COUNTY BOARD OF COMMISSIONERS

RESOLUTION TO AUTHORIZE A 2003-2004 AGREEMENT WITH THE MICHIGAN DEPARTMENT OF COMMUNITY HEALTH FOR THE DELIVERY OF PUBLIC HEALTH SERVICES UNDER THE COMPREHENSIVE PLANNING, BUDGETING AND CONTRACTING (CPBC) PROCESS

RESOLUTION #03-205

WHEREAS, the responsibility for protecting the public health is a shared responsibility between the State and County governments in Michigan; and

WHEREAS, the Michigan Department of Community Health and Ingham County have historically entered into contracts to clarify the role and responsibility of each party in protecting the public health; and

WHEREAS, the Michigan Department of Community Health is in the process of establishing tentative grant funding levels for 2003-2004, and these funding levels will be included in the Health Department's 2004 budget request; and

WHEREAS, the Michigan Department of Community Health has proposed a 2003-2004 Agreement for the delivery of public health services under the Comprehensive, Budgeting and Contracting (CPBC) process to clarify roles and responsibilities, including funding relationships; and

WHEREAS, the Health Officer recommends that the 2003-2004 Agreement be authorized and executed.

THEREFORE BE IT RESOLVED, that the Ingham County Board of Commissioners authorizes a 2003-2004 Agreement with the Michigan Department of Community Health for the delivery of public health services under the Comprehensive Planning, Budgeting and Contracting Process.

BE IT FURTHER RESOLVED, that the period of the Agreement shall be October 1, 2003 through September 30, 2004.

BE IT FURTHER RESOLVED, that the scope of services included in this Agreement shall include Local Public Health Operations, and several categorical public health programs identified in the attachments to the Agreement.

BE IT FURTHER RESOLVED, that approximately $4 million of State/Federal funds will be made available to Ingham County through the CPBC Agreement and that the Ingham County contribution to expenditures associated with the Agreement and budget shall not exceed levels appropriated in the County's 2004 Budget for these purposes.

BE IT FURTHER RESOLVED, that the Board of Commissioners authorizes subcontracts for the period October 1, 2003 through September 30, 2004 with specialty physicians, laboratories, and health care institutions and other service providers necessary to implement the Breast and Cervical Cancer Control Program in Clinton, Gratiot, Ingham, Jackson, Livingston, Oakland and Washtenaw Counties, which is a program included in the CPBC Agreement.

ADOPTED - AUGUST 26, 2003

Agenda Item No. 28

RESOLUTION #03-205

BE IT FURTHER RESOLVED, that a service contract with Catholic Social Services for directly observed therapy in the Tuberculosis Control Program be authorized for $30,150, for the period October 1, 2003 through September 30, 2004.

BE IT FURTHER RESOLVED, that service contracts are authorized with the following list of providers to support engagement and mobilization of current and potential Medicaid recipients in processes designed to assure access to health care services, such as assistance with applying for health coverage, enrolling in health plans, linking with a primary care provider, and establishing a medical home. Assistance may also include making appointments, transporting the person to a health facility, facilitating effective communication with health care providers (by providing language and cultural support, such as translation, interpretation, explanation, and support). The service contracts shall be authorized for amounts up to the amounts identified below for the period October 1, 2003 through September 30, 2004:

Allen Neighborhood Center - $30,000

Catholic Social Services/St. Vincent Home, Inc. - $135,000

Cristo Rey Community Center - $30,000

Family and Community Development Services, Inc. - $45,000

Greater Lansing African American Health Institute - $30,000

Hmong American Community, Inc. - $30,000

NorthWest Lansing Healthy Communities Initiative - $30,000

Wexford Community Schools Neighborhood Network Center - $30,000

BE IT FURTHER RESOLVED, that service contracts are authorized with the following list of providers to support engagement and mobilization of current and potential Medicaid recipients in efforts to remove barriers to better maternal and child health, including environmental and behavioral factors that are likely to result in increased risk of disease and disability, such as smoking, poor nutrition, social isolation, failure to follow medical advice, etc. Assistance may include efforts to reduce the effects of disproportionate disease and disability in low-income populations and communities of color, such as high rate of infant mortality, diabetes, asthma, and other chronic diseases through culturally appropriate engagement and mobilization outreach processes. The service contracts shall be authorized for amounts up to the amounts identified below for the period October 1, 2003 through September 30, 2004:

Allen Neighborhood Center - $50,000 (including Kellogg and Legacy Foundation funds)

Child Abuse Prevention Services - $55,000

Cristo Rey Community Center - $50,000

Greater Lansing African American Health Institute - $50,000 (including Kellogg and Legacy Foundation funds)

NorthWest Lansing Healthy Communities Initiative - $50,000 (including Kellogg and Legacy Foundation funds) Vietnamese Association - $25,000

Wexford Neighborhood Network Center - $20,000 (including Kellogg and Legacy Foundation funds)

BE IT FURTHER RESOLVED, that a subcontract for up to $35,000 is authorized with Professional Service Industries, Inc. to perform lead inspection and abatement oversight services through the Lead Hazard Remediation Program grant.

ADOPTED - AUGUST 26, 2003

Agenda Item No. 28

RESOLUTION #03-205

BE IT FURTHER RESOLVED, that a $98,550 contract to support the operation of a medical clinic to serve low-income person is authorized for the period October 1, 2003 through September 30, 2004 with Gateway Community Services.

BE IT FURTHER RESOLVED, that the Board Chairperson is authorized to sign the Agreement, contracts and subcontracts after review by the County Attorney.

HUMAN SERVICES: Yeas: Dedden, Weatherwax-Grant, Celentino, Swope, Severino

Nays: None Absent: Hertel Approved 8/18/03

FINANCE: Yeas: Grebner, Swope, Dedden, Hertel, Thomas

Nays: None Absent: Minter Approved 8/20/03